NPI Code Detail JSON Logo

1447519400 NPI number — HOLLY DIANE CHAMBLISS M.D.

NPI Number: 1447519400
Health Care Provider/Practitioner: HOLLY DIANE CHAMBLISS M.D.

Information about “1447519400” NPI (HOLLY DIANE CHAMBLISS M.D.) exists in 1447519400 in HTML format HTML  |  1447519400 in plain Text format TXT  |  1447519400 in PDF (Portable Document Format) PDF  |  1447519400 in an XML format XML  formats.

NPI Number : 1447519400 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447519400",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHAMBLISS",
    "FirstName": "HOLLY",
    "MiddleName": "DIANE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCCALEB",
    "OtherFirstName": "HOLLY",
    "OtherMiddleName": "SLATTON",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "904 26TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HALEYVILLE",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35565-1719",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-486-5234",
    "MailingAddressFaxNumber": "205-486-5232",
    "FirstLinePracticeLocationAddress": "750 PETER BRYCE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUSCALOOSA",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35401",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-348-6262",
    "PracticeLocationAddressFaxNumber": "205-486-5232",
    "EnumerationDate": "05/11/2012",
    "LastUpdateDate": "11/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "MD33201",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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